51167.2NO.
LOT No. dr/
PLUMBING PERMIT
CITJ OF CUPERTINO
1 0
(MAV ;1 1968L Sanitary No.
Date Maar 27. ,� {196 8 Permit No -C// C 7j—
�+� (�/ �r f0j?ERrno Fee $ .93,3--zApplic tion is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Dwelling
Use of Premises
Owner Ditz Crane Company
B Palm Plumbing Company
By CONTRACrOR, AGENT
Phone 2115-2323
State License 186579
&5 De La Craz Boulevard
ress
AI&AsSunnyvale-Saratoga Road j
WILLIAM D. BENEVICH
PLUMBING INSPECTOR
FIXTURES
NUMBER MAIN DRAIN
UNITS FEES UNITS FEES
Water Heater
Size
Water Closet
2 Material /
Bath Tub
To Curb
Shower
To Prop. Line ✓
Lavatories
To Existing
Kitchen Sink
Not Conn.
Dish Washer
Sewer Box
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler Valve
Water Sys. Fee
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Permit Fee
Total
Total Fee 1,11�S
LOT No.
c� STREE
T � `iAPPLIO�►T16 NFOR BUILDING PERMIT
° ._� ,?��Y ,� I;°I'1'� OF CUPERTINO _
o < i � 6 �� "j . SanitNo. r� S
5 U
= a U 1t' _ 196Z Permit No. ,�_XX G 7,
o r c i,
t;
i,
o F _ Application is "lieteby�" adeffo a permit to
a
zz In a story, Type Building
aW p
ato be occupied only as iL . in accordance with
0 o Plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee
F' 3 Estimated Value of Improvements, $ of ,?Kg) Fee
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be complied with. ®°�=-I�IE
3Q
— < Owner Address
a By � j�j/ ,f Peg Address ANTS CtA ACAI. IF 0
+
a U Phone ���"— ��� Approved WIL.LIAM D. SENE
ems- /,%9� PP
State Licens BUILDING IIjSPECTOR
a O
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. / �y
Sanitary No.
Date 7196
Application is hereby made for a permit to T
c a - story, Type ��-
to be occupied only as d r T
in accordance with Plot Plan, Plans and Specification filed herewith,
5,40
- Estimated Value of Improvements $ oG I 7, b6 40
FEE$ o 40 's 1!5F /1 Plan Check $
Owner /S�/ ( /L-�^.'t_P Address o�� 9S
J �Cont,. Address �Q �/QQ �
Phone State License
Approved WILLIAM n p�kFVICM
APPLICATION FOR ELECTRICAL PERMIT
Date r/ k AfA•►{�l11796A FEES
N iA�VA ��/
Conir. Address
Phone L "• L,n
73v s7d� State License iay�z
Approved WILLIAM D. BENEVICH
APPLICATION FOR PLUMBING & GAS PERMIT
Dote A - ` 196 GAS FEE $ J -5-0
PLUMBIN9G�FEE $
�7 7f Address
Phone d ��2 - ��(. -S State License L ��•
Approved
WILLIAM D. BENEVICH
APPL ATION FOR APPLIANCE PERMIT
Date 196 FEE$ ,/ /^Z
Contr. V�•"T✓ Address / � '&'
Phone - 3� � � G 9 3 iC ;State License .2- r.,- d' LJ
Approved WILLIAM D. BENEVICH
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION
L cnDA TE INS E<TOR
UNDERFLOOR v --� O 6p
�] AT IN CTOR
FRAME - /
DgTS, TI14 TOR
LAT ^
8 PLASTER m/ ((,llyy
^� ^DpTE INSP OR
FINAL QQ/
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
DAT[ INS OR
ROUGH WIRING � 6 /Y
D TE INSPECTOR ,
FINISH WIRING - �'��
INSPECTOR
FIXTURES
ATE ( INSPECTOR
MOTORS
/T - DAME INSPECTOR
FINAL lA1 ��
DATE INSPECTOR
UM III NG & GAS
UNDER OUND
DAT ECTOR
PARTIAL ROUGH —�
O E SPECTOR
ROUGH COMPLETE
gq�TE SPECTOR
MAIN DRAIN Y
DATE INSPECTOR -
. .
GAS PIPING � '
GATE INSPECTOR
FINAL
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
/ DATE 15-E CTOR
MISC. I -
DATE INSPECTOR -^ /
ROUTE SLIP
File No.
Date !J �6 — 6
Location a 8'
Subject z
Notes
Approved
T) rf- o
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ----If—.,722 ....................I fg-kt. Building Permit
The Building Located at .....Ir--- 0....-., ..
. .... ..... .... ...........
.
Ownedby ......teA.. .................................................U+= ---------
Has Been (Completed) For Use As: ........... ...................................................... ..............
.................. .......... ...................................
---------- ----- -------------- ..........
.................................................................................................................................................
..................................................................................
4- -- -------------- ---
... ...............Gtr................. ........................
BUILDING INSPECTOR
102 12/66-1M
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTIN
................................. .. ..... . ..... . 196 .
To
You are hereby autho ize to Iect ele rical Service for
Owner or Tenant ....... ...... ...
At --...........
No. of Wires .......:Z........... Size Of Wires ......
...... ..... Size of SwitJ ...... .............
..
Motor Load ..... ........ .......... Voltage ...... .................. Phase .. ..... . ....... ....... ...
Heating Load ........................ K. W, ..... Voltage ....................
Light....._
No. of Meters........... .... .....- i o..-<New Service.... xeco,inect-..........
Heat......_.._..... 220�...... .. Th W* Move Service---..
Il No. of Add. Meters........._.` 'r 'e
Power......... ... Th a, love Meter. .....
..........-.....
. ,C,
LECTRICAL INSPECTOR
' GAS SERVICE NOTICE OFFIC:
com,
I. BUILDING INSPECTOR'S OFFICE
CITY OF CUPERT�/INO
You are hereby authorized to connect the GAS service for
Owner or Tenant
..........
At
New Smice
No. of Meters Reconnect
..............................
Move Service - .................. ..
No. of Add. Meters ...... ..
Move Meter . .......................
............
PLUMBING INSPECTOR
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
E] Sewer Connection Sanitary Permit No. .... ------
Plumbing Final Plumbing Permit No.15-114��1�7
A—Cl-
Owner or Tenant .....
Lot No. .-C2;W0--------------------
---- -- - ------ --------------------------------
At ,
...........................
Tract ............
-- -- -------------- ...................................................
p.
Date Connected
. .. ........................................................ lqk:�
Date Final 41-�
................ - - -------------------------........................I..........
..............
.. ..... ...............
PLUMBING INSPECTOR
111 12/66-1M